Cardiology MCQ 61: Leriche syndrome

Q. Which of the following is false about Leriche syndrome?
A. Claudication of buttocks and thighs
B. Impotence
C. More common in females
D. Usually affects young adults (30 to 40 years)

Answer: C. More common in females

Explanation:

Leriche syndrome:

Leriche syndrome, also referred to as aortoiliac occlusive disease, is due to thrombotic occlusion of the abdominal aorta just above the site of its bifurcation and distal to renal arteries.

Presents with triad of
1. Claudication of buttocks and thighs
2. Impotence
3. Absent bilateral femoral pulses

Etiology may be: Atherosclerotic, Vasculitic or thrombotic obstruction.
Commonly affects younger (30-40 years) males.

Treatment includes: Endarterectomy, Aortofemoral bypass or Percutaneous transluminal angioplasty and stentin.

Comments

ECG Spotter

What is the diagnosis? Click the button below to view answer: Show Answer

High heart rate

The patient contacts the doctor over phone with this report. Obviously anxious because of his high heart rate (199 beats per minute) as detected by ECG machine. Should he be worried about this and come to emergency department as soon as possible? Correct answer- ECG machine has calculated his heart rate incorrectly. Heart rate is around 100 beats per minute. Other findings in this ECG include ST segment elevation in anterior chest leads along with presence of Q waves, denoting old MI changes with possibly development of LV aneurysm. In such cases, ST segment elevation can persist for long periods. Now, should he come to emergency department? Not because of detection of high heart rate. But, if he is having symptoms such as shortness of breath or chest pain, he should visit emergency department. Otherwise, if he is asymptomatic, he can schedule a regular visit with his cardiologist.

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